Active NPI
John W. Kamysz, M.D.
- General Acute Care Hospital
- Gurnee, IL
National Provider Identifier
1649588922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 036084688
- Legal business name
- JOHN W. KAMYSZ, M.D.
- Practice address
- 501 N Riverside Dr Ste 213
Gurnee, IL 60031-5918 - Phone
- (847) 625-9500
- NPI assigned
- Sep 20, 2010
- Organization subpart
- Yes
- Parent organization
- JOHN W. KAMYSZ, M.D.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John W Kamysz, M.D.
- Title
- Radiologist
- Phone
- (847) 848-5225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 036084688 | IL | Primary |
Addresses
Primary practice location
501 N Riverside Dr Ste 213
Gurnee, IL 60031-5918
Mailing address
408 Hillcrest Dr
Prospect HTS, IL 60070-1311
Phone (847) 848-5225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3644070316003101 | Medicaid | IL |
National Provider Directory
National Provider Directory- Part of
- John W Kamysz MD
Locations
501 N Riverside Dr
Ste 213
Gurnee, IL 60031
Phone (847) 625-9500
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Prospect Heights, IL
- NPI 1134203979
-
- Pain Medicine (Anesthesiology) Physician
- Gurnee, IL
- NPI 1205824836
-
- Physical Therapist
- Gurnee, IL
- NPI 1700041936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284940800000",
"number": "1649588922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 HILLCREST DR",
"city": "PROSPECT HTS",
"state": "IL",
"postal_code": "600701311",
"telephone_number": "847-848-5225",
"fax_number": "847-463-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N RIVERSIDE DR STE 213",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315918",
"telephone_number": "847-625-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN W. KAMYSZ, M.D.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JOHN W. KAMYSZ, M.D.",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A",
"authorized_official_last_name": "KAMYSZ",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "RADIOLOGIST",
"authorized_official_telephone_number": "847-848-5225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": "036084688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3644070316003101",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.